What is the Primary Care Physician Checklist?
The Primary Care Physician (PCP) Checklist is a form that your PCP must complete and sign once a year as part of the Wellness Participation Requirements of the plan. As part of these requirements, you must submit a PCP Checklist each year for yourself and each of your dependents who are age 12 and older. This form must be submitted within eight months after your effective date of coverage.